For those wondering about the limitations of procedures that can be performed on medical manikins, the reply is simple: virtually every hands-on clinical skill can be practiced on medical manikins.
From basic nursing care, diagnostic skills, emergency medicine, internal medicine, surgery, obstetrics, pediatrics nursing, and emergency rescue, medical manikins, or medical simulators, provide opportunities to learners to practice safe, repetitive, confidence-building procedures before interacting with a live patient.
However, this article promises to go further than the basic “what can be done” framework. We seek to cover:
- Why does education and training using a simulation framework even matter?
- What should learners concentrate on in their specific and respective training phases?
- How does the practice improve the safety of patients, the quality of care, and the clinical environment?
- What are the different types of medical manikins, and what are the criteria to make an informed choice?

Classification of Medical Manikins — From Basic Modules to High-Fidelity “Patients”
There are different types of medical manikins available which range from simple anatomy trainers to more sophisticated, lifelike manikins.
Category | Typical Models | Main Focus | Used By |
Basic Care & Diagnostic Models | Infant care model, transparent gastric lavage model, intramuscular injection model | Basic nursing & assessment skills | Nursing schools, early students |
Full-body patient simulator with vital signs and monitor | IV puncture arm, airway management head, CPR torso, urinary catheterization trainer | Obstetric delivery model, newborn resuscitation model, and laparoscopic surgical trainer | Clinical skill labs |
HighFidelity Simulators | One or a few skills | Integrated emergency or ICU scenarios | Hospitals, simulation centers |
Specialized Models | Obstetric delivery model, newborn resuscitation model, laparoscopic surgical trainer | Professional or specialty procedures | OBGYN, pediatrics, surgery |
These form a step-by-step learning ladder, where each model type supports a different level of training — from beginner to advanced clinical team scenarios.
What Procedures Can Be Practiced on Different Medical Manikins?
Let’s break it down by training category.
Basic Nursing & Diagnostic Skills
Common Model Types
- Infant Care Model (Bathing, Diapering, Temperature Measurement)
- Transparent Gastric Lavage Model
- Intramuscular Injection Models
- IV Puncture Training Arm
- Urinary Catheterization Models (Male/Female)
- Basic Patient Care Full Body Model
Main Skills to Practice:
- Performing Basic Hygiene and Daily Care
- Feeding, Oral Care, and Diaper Change
- Gastric Lavage and Nasogastric Tube Insertion
- IM and SQ Injections, IV Puncture
- Monitoring Vital Signs and Performing Basic Nursing Assessment
Advantages:
- Simplicity and Low Cost, Which Makes Them Suitable For Repetitive Training
- Outstanding For Early-Stage Students To Build Their Hand Confidence
Limitations:
- Low Realism, No Physiological Feedback, and No Speech Make Them Suitable for Low-Level Training
- Mostly Individual Skill Practice
Best For:
Nursing Schools For Training In Foundation Skills, Entry Level Medical Students, OSCE Preparation
Emergency & Critical Care (ICU / First Aid)
Common Model Types:
- Comprehensive CPR training manikin
- Advanced airway management model
- Defibrillation and ECG training model
- Trauma and bleeding control model
- Simulated patient with a vital sign monitor
Main Skills to Practice:
- Basic & advanced CPR (adult, child, infant)
- Airway management: mask ventilation, intubation, tracheotomy
- AED/defibrillator use and cardiac rhythm identification
- Hemorrhage control, fracture immobilization, trauma management
- ICU patient monitoring and resuscitation teamwork
Advantages:
- Realistic physiological feedback (heart rate, breathing, pulse)
- Enables team coordination and crisis drills
- Great for ACLS/BLS certification and hospital code blue training
Limitations:
- Higher purchase and maintenance costs
- Requires instructor setup and scenario programming
Best For:
Emergency and ICU departments, paramedic training, and hospital simulation centers.
Internal Medicine & Interventional Procedures
Common Model Types:
- Venipuncture and infusion trainer
- Central venous catheterization model
- Thoracentesis and paracentesis model
- Lumbar puncture trainer
- Ultrasound-guided puncture simulator
Main Skills to Practice:
- Peripheral and central venous access
- Thoracentesis, paracentesis
- Lumbar puncture and spinal anesthesia
- Ultrasound-guided procedures
- Medication infusion and sterile technique
Advantages
- Realistic anatomy and tactile feedback
- Great for intermediate to advanced learners
- Reduces risk before real-patient practice
Limitations:
- Focused on single-procedure practice
- May require ultrasound or imaging device support
Best For:
Internal medicine, anesthesiology, critical care residents, and clinical skill examination.
Surgical & Perioperative Skills
Common Model Types:
- Surgical suturing and knot-tying model
- Laparoscopic surgery training box
- Tracheostomy and cricothyrotomy model
- Chest tube insertion model
- Hemostasis and trauma surgery trainer
Main Skills to Practice:
- Surgical incision, suturing, and knot tying
- Tracheostomy and airway emergency procedures
- Chest drainage and trauma management
- Laparoscopic coordination and camera handling
- Hemostasis and wound management
Advantages:
- High tactile realism, suitable for surgical skill repetition
- Builds confidence before real operations
Limitations:
- Consumable parts need replacement
- Requires surgical instruments and setup space
Best For:
Surgical residents, trauma teams, and operating room staff.
Obstetrics & Pediatrics
Common Model Types:
- Obstetric delivery model.
- Postpartum hemorrhage management simulator.
- Newborn care model.
- Neonatal resuscitation trainer (NRP) models.
- Pediatric IV and airway management model.
Obstetric Training:
- Performing a simulation for normal and difficult labor.
- Postpartum hemorrhage management.
- Fetal heart monitoring and delivery techniques.
Pediatric & Neonatal Training:
- Newborn resuscitation (airway, chest compression, medication).
- Pediatric IV access and intraosseous infusion.
- Team-based pediatric emergency scenarios.
Advantages:
- High specialty realism, ideal for mother-baby coordination training.
- Enhance inter-team coordination and response for pediatric and obstetric emergencies.
Limitations:
- Being more specialized and the cost per unit increases.
- Requires more specific trainers and scenarios.
Best For:
OBGYN schools, midwifery programs, pediatric and neonatal care teams.
How to Choose the Right Manikin
While choosing training tools, one must take into account the educational objectives, the level of the learners, and the resources at hand.
Decision Factor | Key Question | Suggested Choice |
Training Objective | What skills need to be mastered? | Choose the corresponding specialty model (e.g,. nursing, emergency, surgery). |
Learner Stage | Beginner or advanced clinical learner? | Lower fidelity for basics, higher for complex cases. |
Budget & Maintenance | What’s your cost and support capacity? | Choose the corresponding specialty model (e.g, nursing, emergency, surgery). |
Frequency of Use | Daily lab use or periodic assessment? | Frequent → durable models; occasional → specialized ones. |
Team vs. Individual Practice | Single learner or group scenario? | Combine basic trainers with selective high-fidelity models. |
Curriculum Integration | How does it fit the program? | Design progressive learning: basic → intermediate → advanced. |
Start simple. With schools and hospitals, constructing a tiered simulation system makes sense. For large classes, basic care and task trainers can be utilized, and then high-fidelity or specialty models incorporated for advanced practice.
Conclusion
Medical manikins are more than plastic figures — they help turn classroom education into tangible patient care skills.
In simulation training, learners and practitioners are able to:
- Practise vigilance, avoiding real patients.
- Rehearse life-threatening, high-stakes agile decisions.
- Enhance safety and reduce the likelihood of patient harm.
- Enhance collaborative performance under stress.
- Foster confidence and competence for further clinical activities.
Every person involved — student, educator, or training manager — simulation-based practice offers unmatched potential to better the quality of care provided and patient outcomes.
Fewer simulations means more risk for patients.